PIONEER PROVIDER NETWORK NPI 1528260643

NPI Information

  • NPI: 1528260643
  • Provider Name: PIONEER PROVIDER NETWORK
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 4909 LAKEWOOD BLVD
    200
    LAKEWOOD, CA
    ZIP 90712
  • Phone: (560) 602-1563

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NPI Details

PIONEER PROVIDER NETWORK is a family medicine in Lakewood, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PIONEER PROVIDER NETWORK NPI is 1528260643. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4909 LAKEWOOD BLVD
200
LAKEWOOD, CA
ZIP 90712-405
Phone: (560) 602-1563

The provider's authorized official is Bonnie Eng .
The authorized official title is Provider Relations Manager and has the following contact phone number (562) 602-1563.

The enumeration date for this NPI number is 6/1/2007 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineCALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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